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Biweekly Docetaxel (Taxotere®)in Combination With Capecitabine (Xeloda®)as First-Line Treatment in Patients With Advanced Gastric Cancer

Phase 2
18 Years
Open (Enrolling)
Stomach Neoplasms

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Trial Information

Biweekly Docetaxel (Taxotere®)in Combination With Capecitabine (Xeloda®)as First-Line Treatment in Patients With Advanced Gastric Cancer

GAST-TaxXel is an open, phase II, single arm, non-randomized, Finnish multicenter trial. At
least 50 subjects will be enrolled.

Primary endpoint:

To determine the quality of life (EORTC QLQ-C30 and QLQ-STO22) in patients with gastric
cancer who receive combination treatment with Taxotere and Xeloda.

Secondary endpoint:

To evaluate time to progression (TTP), overall response rate (ORR) and overall survival

Quality of life: to evaluate that QOL does not deteriorate from baseline. Quality of life is
measured using EORTC QLQ-C30 and QLQ-STO22 with physical functioning score as the primary

Efficacy: time to progression, overall response rate, overall survival Time to progression
is defined as time elapsed from inclusion to first documented progression or death whatever
the reason. Overall response rate is assessed according to the RECIST criteria. Overall
survival is defined as time elapsed from inclusion to death.

Safety: clinical and laboratory toxicities or symptomatology will be graded according to
NCI-CTC criteria.

Statistical considerations:

The primary variable, physical functioning score measured by the EORTC QLQ-C30 and QLQ-STO22
instrument, will be analyzed using a paired t-test (change from baseline after two treatment
cycles). A 95% confidence interval will also be calculated for the primary variable. Median
TTP and OS will be estimated using the Kaplan-Meier method. The ORR will be summarized.
Safety variables will be summarized descriptively.

Inclusion Criteria

Inclusion criteria:

- Histologically confirmed advanced, inoperable gastric adenocarcinoma

- age ≥18 years

- WHO performance status ≤ 2

- Stage IV

- Measurable (according to RECIST criteria) or evaluable lesion

- No previous chemotherapy, except adjuvant chemotherapy ≥ 6 months ago

- Adequate hematological function (neutrophils ≥ 1.5 x 109/l and platelets ≥ 100 x
109/l, Hb ≥ 100 g/l (after transfusion when needed)

- Adequate renal function (serum creatinine ≤ 1.25 x upper normal limit)

- Adequate liver function (total serum bilirubin ≤ 1.25 x upper normal limit or ALAT ≤
3 x upper normal limit; in case of liver metastasis: total serum bilirubin ≤ 1.5 x
upper normal limit, ALAT ≤ 5 x upper normal limit)

- AFOS ≤ 2.5 x upper normal limit (unless bone metastases)

- Consent form signed and dated before inclusion

- Able to comply with the scheduled follow-up and with the management of toxicities.

Exclusion Criteria:

- Pregnant or lactating women (or potentially fertile women not using adequate

- Presence of CNS metastases

- Unresolved bowel obstruction or subobstruction

- Chronic diarrhea

- Clinically significant malabsorption syndrome

- Inability to swallow tablets

- Known dihydropyrimidine dehydrogenase (DPD) deficiency

- Concurrent severe and/or uncontrolled co-morbid medical condition such as
uncontrolled infection, hypertension, ischemic heart disease, myocardial infarction
within previous 6 months, congestive heart failure

- History of previous or concurrent malignancy within the previous 5 years except
curatively treated carcinoma in situ of the uterine cervix or basal cell carcinoma of
the skin

- History of prior serious allergic reactions such as anaphylactic shock.

- Peripheral neuropathy ≥ grade 2, unless related to mechanical etiology

- Concurrent use of corticosteroids unless chronic treatment (i.e. initiated > 6
months prior to study entry) at low doses (≥ 20 mg methylprednisolone or equivalent)

- History of allergy to drugs containing the excipient TWEEN 80® and/ or 5-

- Lack of physical integrity of the upper gastrointestinal tract.

- Concomitant administration of any other experimental drug under investigation:
concurrent treatment with any other anti-cancer therapy.

- Major surgery within 4 weeks prior to study treatment start, or lack of complete
recovery from the effects of major surgery.

- Patients who cannot be regularly followed up for psychological, social, family or
geographic reasons.

Type of Study:


Study Design:

Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

To determine the quality of life (EORTC QLQ-C30 and QLQ-STO22)

Outcome Time Frame:

at baseline and on day 1 at every cycle, at the end of study and every 8 week until progress

Safety Issue:


Principal Investigator

Raija Ristamäki, MD, PhD

Investigator Role:

Principal Investigator

Investigator Affiliation:

Department of Oncology and Radiotherapy, Turku University Hospital


Finland: Finnish Medicines Agency

Study ID:




Start Date:

June 2006

Completion Date:

Related Keywords:

  • Stomach Neoplasms
  • advanced gastric cancer
  • adenocarcinoma
  • Neoplasms
  • Stomach Neoplasms